|
HC CORN POLLEN IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200081
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$5.57
|
| Rate for Payer: BCN Commercial |
$5.57
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Mclaren Medicaid |
$2.73
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.22
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: Priority Health Tiered Network |
$4.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.83
|
| Rate for Payer: UHC Core |
$7.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$7.83
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: VA VA |
$5.22
|
|
|
HC CORO ANGIOS W RHC
|
Facility
|
OP
|
$9,143.70
|
|
|
Service Code
|
CPT 93456
|
| Hospital Charge Code |
48100015
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$10,446.41 |
| Rate for Payer: Aetna Commercial |
$7,772.15
|
| Rate for Payer: Aetna Medicare |
$3,359.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,943.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,418.39
|
| Rate for Payer: BCN Commercial |
$3,418.39
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$7,314.96
|
| Rate for Payer: Cash Price |
$7,314.96
|
| Rate for Payer: Cofinity Advantage |
$6,400.59
|
| Rate for Payer: Cofinity Commercial |
$7,863.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,314.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$8,229.33
|
| Rate for Payer: Mclaren Medicaid |
$1,689.43
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$3,391.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,772.15
|
| Rate for Payer: Nomi Health Commercial |
$9,690.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,857.77
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$7,772.15
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,446.41
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health SBD |
$5,760.53
|
| Rate for Payer: Priority Health Tiered Network |
$8,357.13
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC CORO ANGIOS W RHC
|
Facility
|
IP
|
$9,143.70
|
|
|
Service Code
|
CPT 93456
|
| Hospital Charge Code |
48100015
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,760.53 |
| Max. Negotiated Rate |
$8,229.33 |
| Rate for Payer: Aetna Commercial |
$7,772.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,943.40
|
| Rate for Payer: Cash Price |
$7,314.96
|
| Rate for Payer: Cofinity Advantage |
$6,400.59
|
| Rate for Payer: Cofinity Commercial |
$7,863.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,314.96
|
| Rate for Payer: Healthscope Commercial |
$8,229.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,772.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,857.77
|
| Rate for Payer: PHP Commercial |
$7,772.15
|
| Rate for Payer: Priority Health SBD |
$5,760.53
|
|
|
HC CORO/CABG ANGIOS W RHC
|
Facility
|
IP
|
$7,254.18
|
|
|
Service Code
|
CPT 93457
|
| Hospital Charge Code |
48100016
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,570.13 |
| Max. Negotiated Rate |
$6,528.76 |
| Rate for Payer: Aetna Commercial |
$6,166.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,715.22
|
| Rate for Payer: Cash Price |
$5,803.34
|
| Rate for Payer: Cofinity Advantage |
$5,077.93
|
| Rate for Payer: Cofinity Commercial |
$6,238.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,803.34
|
| Rate for Payer: Healthscope Commercial |
$6,528.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,166.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,440.64
|
| Rate for Payer: PHP Commercial |
$6,166.05
|
| Rate for Payer: Priority Health SBD |
$4,570.13
|
|
|
HC CORO/CABG ANGIOS W RHC
|
Facility
|
OP
|
$7,254.18
|
|
|
Service Code
|
CPT 93457
|
| Hospital Charge Code |
48100016
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$10,446.41 |
| Rate for Payer: Aetna Commercial |
$6,166.05
|
| Rate for Payer: Aetna Medicare |
$3,359.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,715.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,686.35
|
| Rate for Payer: BCN Commercial |
$3,686.35
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$5,803.34
|
| Rate for Payer: Cash Price |
$5,803.34
|
| Rate for Payer: Cofinity Advantage |
$5,077.93
|
| Rate for Payer: Cofinity Commercial |
$6,238.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,803.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$6,528.76
|
| Rate for Payer: Mclaren Medicaid |
$1,689.43
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$3,391.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,166.05
|
| Rate for Payer: Nomi Health Commercial |
$9,690.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,440.64
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$6,166.05
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,446.41
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health SBD |
$4,570.13
|
| Rate for Payer: Priority Health Tiered Network |
$8,357.13
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC CORONARY ANGIOS ONLY
|
Facility
|
OP
|
$7,701.38
|
|
|
Service Code
|
CPT 93454
|
| Hospital Charge Code |
48100013
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$10,446.41 |
| Rate for Payer: Aetna Commercial |
$6,546.17
|
| Rate for Payer: Aetna Medicare |
$3,359.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,005.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$2,795.13
|
| Rate for Payer: BCN Commercial |
$2,795.13
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$6,161.10
|
| Rate for Payer: Cash Price |
$6,161.10
|
| Rate for Payer: Cofinity Advantage |
$5,390.97
|
| Rate for Payer: Cofinity Commercial |
$6,623.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,161.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$6,931.24
|
| Rate for Payer: Mclaren Medicaid |
$1,689.43
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$3,391.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,546.17
|
| Rate for Payer: Nomi Health Commercial |
$9,690.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,776.03
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$6,546.17
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,446.41
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health SBD |
$4,851.87
|
| Rate for Payer: Priority Health Tiered Network |
$8,357.13
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC CORONARY ANGIOS ONLY
|
Facility
|
IP
|
$7,701.38
|
|
|
Service Code
|
CPT 93454
|
| Hospital Charge Code |
48100013
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,851.87 |
| Max. Negotiated Rate |
$6,931.24 |
| Rate for Payer: Aetna Commercial |
$6,546.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,005.90
|
| Rate for Payer: Cash Price |
$6,161.10
|
| Rate for Payer: Cofinity Advantage |
$5,390.97
|
| Rate for Payer: Cofinity Commercial |
$6,623.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,161.10
|
| Rate for Payer: Healthscope Commercial |
$6,931.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,546.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,776.03
|
| Rate for Payer: PHP Commercial |
$6,546.17
|
| Rate for Payer: Priority Health SBD |
$4,851.87
|
|
|
HC CORONARY CRITICAL CARE R&B
|
Facility
|
IP
|
$6,464.21
|
|
| Hospital Charge Code |
21000001
|
|
Hospital Revenue Code
|
210
|
| Min. Negotiated Rate |
$4,072.45 |
| Max. Negotiated Rate |
$5,817.79 |
| Rate for Payer: Aetna Commercial |
$5,494.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,201.74
|
| Rate for Payer: Cash Price |
$5,171.37
|
| Rate for Payer: Cofinity Advantage |
$4,524.95
|
| Rate for Payer: Cofinity Commercial |
$5,559.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,171.37
|
| Rate for Payer: Healthscope Commercial |
$5,817.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,494.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,848.16
|
| Rate for Payer: PHP Commercial |
$5,494.58
|
| Rate for Payer: Priority Health SBD |
$4,072.45
|
|
|
HC CORONARY SINUS CATHETER
|
Facility
|
IP
|
$1,592.74
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200023
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,003.43 |
| Max. Negotiated Rate |
$1,433.47 |
| Rate for Payer: Aetna Commercial |
$1,353.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.28
|
| Rate for Payer: Cash Price |
$1,274.19
|
| Rate for Payer: Cofinity Advantage |
$1,114.92
|
| Rate for Payer: Cofinity Commercial |
$1,369.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,274.19
|
| Rate for Payer: Healthscope Commercial |
$1,433.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,353.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,194.56
|
| Rate for Payer: PHP Commercial |
$1,353.83
|
| Rate for Payer: Priority Health SBD |
$1,003.43
|
|
|
HC CORONARY SINUS CATHETER
|
Facility
|
OP
|
$1,592.74
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200023
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$1,433.47 |
| Rate for Payer: Aetna Commercial |
$1,353.83
|
| Rate for Payer: Aetna Medicare |
$796.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.28
|
| Rate for Payer: BCBS Complete |
$637.10
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$1,274.19
|
| Rate for Payer: Cash Price |
$1,274.19
|
| Rate for Payer: Cofinity Advantage |
$1,114.92
|
| Rate for Payer: Cofinity Commercial |
$1,369.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,274.19
|
| Rate for Payer: Healthscope Commercial |
$1,433.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,274.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,353.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,194.56
|
| Rate for Payer: PHP Commercial |
$1,353.83
|
| Rate for Payer: Priority Health SBD |
$1,003.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,035.28
|
| Rate for Payer: UHC Core |
$829.82
|
| Rate for Payer: UHC Exchange |
$625.95
|
|
|
HC CORONARY STENT DRUG ELUTING
|
Facility
|
IP
|
$11,340.73
|
|
|
Service Code
|
HCPCS C1874
|
| Hospital Charge Code |
27800008
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,144.66 |
| Max. Negotiated Rate |
$10,206.66 |
| Rate for Payer: Aetna Commercial |
$9,639.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,371.47
|
| Rate for Payer: Cash Price |
$9,072.58
|
| Rate for Payer: Cofinity Advantage |
$7,938.51
|
| Rate for Payer: Cofinity Commercial |
$9,753.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,072.58
|
| Rate for Payer: Healthscope Commercial |
$10,206.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,639.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,505.55
|
| Rate for Payer: PHP Commercial |
$9,639.62
|
| Rate for Payer: Priority Health SBD |
$7,144.66
|
|
|
HC CORONARY STENT DRUG ELUTING
|
Facility
|
OP
|
$11,340.73
|
|
|
Service Code
|
HCPCS C1874
|
| Hospital Charge Code |
27800008
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,456.91 |
| Max. Negotiated Rate |
$10,206.66 |
| Rate for Payer: Aetna Commercial |
$9,639.62
|
| Rate for Payer: Aetna Medicare |
$5,670.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,371.47
|
| Rate for Payer: BCBS Complete |
$4,536.29
|
| Rate for Payer: Cash Price |
$9,072.58
|
| Rate for Payer: Cofinity Advantage |
$7,938.51
|
| Rate for Payer: Cofinity Commercial |
$9,753.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,072.58
|
| Rate for Payer: Healthscope Commercial |
$10,206.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,072.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,639.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,505.55
|
| Rate for Payer: PHP Commercial |
$9,639.62
|
| Rate for Payer: Priority Health SBD |
$7,144.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,371.47
|
| Rate for Payer: UHC Core |
$5,908.52
|
| Rate for Payer: UHC Exchange |
$4,456.91
|
|
|
HC CORONARY THROMBECTOMY
|
Facility
|
OP
|
$4,145.24
|
|
|
Service Code
|
CPT 92973
|
| Hospital Charge Code |
48100001
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$50.06 |
| Max. Negotiated Rate |
$3,730.72 |
| Rate for Payer: Aetna Commercial |
$3,523.45
|
| Rate for Payer: Aetna Medicare |
$2,072.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,694.41
|
| Rate for Payer: BCBS Complete |
$1,658.10
|
| Rate for Payer: BCBS Trust/PPO |
$50.06
|
| Rate for Payer: BCN Commercial |
$50.06
|
| Rate for Payer: Cash Price |
$3,316.19
|
| Rate for Payer: Cash Price |
$3,316.19
|
| Rate for Payer: Cofinity Advantage |
$2,901.67
|
| Rate for Payer: Cofinity Commercial |
$3,564.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,316.19
|
| Rate for Payer: Healthscope Commercial |
$3,730.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,316.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,523.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,108.93
|
| Rate for Payer: PHP Commercial |
$3,523.45
|
| Rate for Payer: Priority Health SBD |
$2,611.50
|
|
|
HC CORONARY THROMBECTOMY
|
Facility
|
IP
|
$4,145.24
|
|
|
Service Code
|
CPT 92973
|
| Hospital Charge Code |
48100001
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,611.50 |
| Max. Negotiated Rate |
$3,730.72 |
| Rate for Payer: Aetna Commercial |
$3,523.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,694.41
|
| Rate for Payer: Cash Price |
$3,316.19
|
| Rate for Payer: Cofinity Advantage |
$2,901.67
|
| Rate for Payer: Cofinity Commercial |
$3,564.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,316.19
|
| Rate for Payer: Healthscope Commercial |
$3,730.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,523.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,108.93
|
| Rate for Payer: PHP Commercial |
$3,523.45
|
| Rate for Payer: Priority Health SBD |
$2,611.50
|
|
|
HC CORTICAL MAPPING
|
Facility
|
IP
|
$2,193.52
|
|
|
Service Code
|
CPT 95961
|
| Hospital Charge Code |
92000009
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$1,381.92 |
| Max. Negotiated Rate |
$1,974.17 |
| Rate for Payer: Aetna Commercial |
$1,864.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,425.79
|
| Rate for Payer: Cash Price |
$1,754.82
|
| Rate for Payer: Cofinity Advantage |
$1,535.46
|
| Rate for Payer: Cofinity Commercial |
$1,886.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,754.82
|
| Rate for Payer: Healthscope Commercial |
$1,974.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,864.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,645.14
|
| Rate for Payer: PHP Commercial |
$1,864.49
|
| Rate for Payer: Priority Health SBD |
$1,381.92
|
|
|
HC CORTICAL MAPPING
|
Facility
|
OP
|
$2,193.52
|
|
|
Service Code
|
CPT 95961
|
| Hospital Charge Code |
92000009
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$447.50 |
| Max. Negotiated Rate |
$2,767.09 |
| Rate for Payer: Aetna Commercial |
$1,864.49
|
| Rate for Payer: Aetna Medicare |
$889.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,425.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,069.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,069.56
|
| Rate for Payer: BCBS Complete |
$469.92
|
| Rate for Payer: BCBS MAPPO |
$855.65
|
| Rate for Payer: BCBS Trust/PPO |
$753.55
|
| Rate for Payer: BCN Commercial |
$753.55
|
| Rate for Payer: BCN Medicare Advantage |
$855.65
|
| Rate for Payer: Cash Price |
$1,754.82
|
| Rate for Payer: Cash Price |
$1,754.82
|
| Rate for Payer: Cofinity Advantage |
$1,535.46
|
| Rate for Payer: Cofinity Commercial |
$1,886.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,754.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$855.65
|
| Rate for Payer: Healthscope Commercial |
$1,974.17
|
| Rate for Payer: Mclaren Medicaid |
$447.50
|
| Rate for Payer: Mclaren Medicare |
$855.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$898.43
|
| Rate for Payer: Meridian Medicaid |
$898.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$984.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$941.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,864.49
|
| Rate for Payer: Nomi Health Commercial |
$2,566.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,645.14
|
| Rate for Payer: PACE Medicare |
$812.87
|
| Rate for Payer: PACE SWMI |
$855.65
|
| Rate for Payer: PHP Commercial |
$1,864.49
|
| Rate for Payer: PHP Medicare Advantage |
$855.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$447.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,767.09
|
| Rate for Payer: Priority Health Medicare |
$855.65
|
| Rate for Payer: Priority Health SBD |
$1,381.92
|
| Rate for Payer: Priority Health Tiered Network |
$2,213.67
|
| Rate for Payer: Railroad Medicare Medicare |
$855.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,425.79
|
| Rate for Payer: UHC Core |
$1,142.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$855.65
|
| Rate for Payer: UHC Exchange |
$862.05
|
| Rate for Payer: UHC Medicaid |
$447.50
|
| Rate for Payer: UHCCP Medicaid |
$447.50
|
| Rate for Payer: VA VA |
$855.65
|
|
|
HC CORTICOL SALIVA
|
Facility
|
IP
|
$68.98
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100618
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$43.46 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.84
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Advantage |
$48.29
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: Priority Health SBD |
$43.46
|
|
|
HC CORTICOL SALIVA
|
Facility
|
OP
|
$68.98
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100618
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.52 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: Aetna Medicare |
$16.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.38
|
| Rate for Payer: BCBS Complete |
$8.95
|
| Rate for Payer: BCBS MAPPO |
$16.30
|
| Rate for Payer: BCBS Trust/PPO |
$17.39
|
| Rate for Payer: BCN Commercial |
$17.39
|
| Rate for Payer: BCN Medicare Advantage |
$16.30
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Advantage |
$48.29
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.30
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Mclaren Medicaid |
$8.52
|
| Rate for Payer: Mclaren Medicare |
$16.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.11
|
| Rate for Payer: Meridian Medicaid |
$17.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Nomi Health Commercial |
$24.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PACE Medicare |
$15.48
|
| Rate for Payer: PACE SWMI |
$16.30
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: PHP Medicare Advantage |
$16.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.30
|
| Rate for Payer: Priority Health Medicare |
$16.30
|
| Rate for Payer: Priority Health SBD |
$43.46
|
| Rate for Payer: Priority Health Tiered Network |
$13.04
|
| Rate for Payer: Railroad Medicare Medicare |
$16.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.45
|
| Rate for Payer: UHC Core |
$24.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.30
|
| Rate for Payer: UHC Exchange |
$24.45
|
| Rate for Payer: UHC Medicaid |
$8.52
|
| Rate for Payer: UHCCP Medicaid |
$8.52
|
| Rate for Payer: VA VA |
$16.30
|
|
|
HC CORTISOL, SALIVA
|
Facility
|
OP
|
$67.63
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100750
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.52 |
| Max. Negotiated Rate |
$60.87 |
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: Aetna Medicare |
$16.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.38
|
| Rate for Payer: BCBS Complete |
$8.95
|
| Rate for Payer: BCBS MAPPO |
$16.30
|
| Rate for Payer: BCBS Trust/PPO |
$17.39
|
| Rate for Payer: BCN Commercial |
$17.39
|
| Rate for Payer: BCN Medicare Advantage |
$16.30
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Advantage |
$47.34
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.30
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Mclaren Medicaid |
$8.52
|
| Rate for Payer: Mclaren Medicare |
$16.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.11
|
| Rate for Payer: Meridian Medicaid |
$17.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Nomi Health Commercial |
$24.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PACE Medicare |
$15.48
|
| Rate for Payer: PACE SWMI |
$16.30
|
| Rate for Payer: PHP Commercial |
$57.49
|
| Rate for Payer: PHP Medicare Advantage |
$16.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.30
|
| Rate for Payer: Priority Health Medicare |
$16.30
|
| Rate for Payer: Priority Health SBD |
$42.61
|
| Rate for Payer: Priority Health Tiered Network |
$13.04
|
| Rate for Payer: Railroad Medicare Medicare |
$16.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.45
|
| Rate for Payer: UHC Core |
$24.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.30
|
| Rate for Payer: UHC Exchange |
$24.45
|
| Rate for Payer: UHC Medicaid |
$8.52
|
| Rate for Payer: UHCCP Medicaid |
$8.52
|
| Rate for Payer: VA VA |
$16.30
|
|
|
HC CORTISOL, SALIVA
|
Facility
|
IP
|
$67.63
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100750
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$42.61 |
| Max. Negotiated Rate |
$60.87 |
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.96
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Advantage |
$47.34
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PHP Commercial |
$57.49
|
| Rate for Payer: Priority Health SBD |
$42.61
|
|
|
HC CORTISOL SERUM
|
Facility
|
IP
|
$68.98
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100174
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$43.46 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.84
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Advantage |
$48.29
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: Priority Health SBD |
$43.46
|
|
|
HC CORTISOL SERUM
|
Facility
|
OP
|
$68.98
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100174
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.52 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: Aetna Medicare |
$16.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.38
|
| Rate for Payer: BCBS Complete |
$8.95
|
| Rate for Payer: BCBS MAPPO |
$16.30
|
| Rate for Payer: BCBS Trust/PPO |
$17.39
|
| Rate for Payer: BCN Commercial |
$17.39
|
| Rate for Payer: BCN Medicare Advantage |
$16.30
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Advantage |
$48.29
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.30
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Mclaren Medicaid |
$8.52
|
| Rate for Payer: Mclaren Medicare |
$16.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.11
|
| Rate for Payer: Meridian Medicaid |
$17.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Nomi Health Commercial |
$24.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PACE Medicare |
$15.48
|
| Rate for Payer: PACE SWMI |
$16.30
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: PHP Medicare Advantage |
$16.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.30
|
| Rate for Payer: Priority Health Medicare |
$16.30
|
| Rate for Payer: Priority Health SBD |
$43.46
|
| Rate for Payer: Priority Health Tiered Network |
$13.04
|
| Rate for Payer: Railroad Medicare Medicare |
$16.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.45
|
| Rate for Payer: UHC Core |
$24.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.30
|
| Rate for Payer: UHC Exchange |
$24.45
|
| Rate for Payer: UHC Medicaid |
$8.52
|
| Rate for Payer: UHCCP Medicaid |
$8.52
|
| Rate for Payer: VA VA |
$16.30
|
|
|
HC CORTISOL URINE
|
Facility
|
IP
|
$48.82
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100172
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$30.76 |
| Max. Negotiated Rate |
$43.94 |
| Rate for Payer: Aetna Commercial |
$41.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.73
|
| Rate for Payer: Cash Price |
$39.06
|
| Rate for Payer: Cofinity Advantage |
$34.17
|
| Rate for Payer: Cofinity Commercial |
$41.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.06
|
| Rate for Payer: Healthscope Commercial |
$43.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.62
|
| Rate for Payer: PHP Commercial |
$41.50
|
| Rate for Payer: Priority Health SBD |
$30.76
|
|
|
HC CORTISOL URINE
|
Facility
|
OP
|
$48.82
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100172
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.74 |
| Max. Negotiated Rate |
$43.94 |
| Rate for Payer: Aetna Commercial |
$41.50
|
| Rate for Payer: Aetna Medicare |
$17.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.89
|
| Rate for Payer: BCBS Complete |
$9.18
|
| Rate for Payer: BCBS MAPPO |
$16.71
|
| Rate for Payer: BCBS Trust/PPO |
$17.81
|
| Rate for Payer: BCN Commercial |
$17.81
|
| Rate for Payer: BCN Medicare Advantage |
$16.71
|
| Rate for Payer: Cash Price |
$39.06
|
| Rate for Payer: Cash Price |
$39.06
|
| Rate for Payer: Cofinity Advantage |
$34.17
|
| Rate for Payer: Cofinity Commercial |
$41.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.71
|
| Rate for Payer: Healthscope Commercial |
$43.94
|
| Rate for Payer: Mclaren Medicaid |
$8.74
|
| Rate for Payer: Mclaren Medicare |
$16.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.55
|
| Rate for Payer: Meridian Medicaid |
$17.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.50
|
| Rate for Payer: Nomi Health Commercial |
$25.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.62
|
| Rate for Payer: PACE Medicare |
$15.87
|
| Rate for Payer: PACE SWMI |
$16.71
|
| Rate for Payer: PHP Commercial |
$41.50
|
| Rate for Payer: PHP Medicare Advantage |
$16.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.71
|
| Rate for Payer: Priority Health Medicare |
$16.71
|
| Rate for Payer: Priority Health SBD |
$30.76
|
| Rate for Payer: Priority Health Tiered Network |
$13.37
|
| Rate for Payer: Railroad Medicare Medicare |
$16.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.07
|
| Rate for Payer: UHC Core |
$25.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.71
|
| Rate for Payer: UHC Exchange |
$25.07
|
| Rate for Payer: UHC Medicaid |
$8.74
|
| Rate for Payer: UHCCP Medicaid |
$8.74
|
| Rate for Payer: VA VA |
$16.71
|
|
|
HC CORTISOL URINE RANDOM
|
Facility
|
IP
|
$76.39
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100473
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$48.13 |
| Max. Negotiated Rate |
$68.75 |
| Rate for Payer: Aetna Commercial |
$64.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.65
|
| Rate for Payer: Cash Price |
$61.11
|
| Rate for Payer: Cofinity Advantage |
$53.47
|
| Rate for Payer: Cofinity Commercial |
$65.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.11
|
| Rate for Payer: Healthscope Commercial |
$68.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.29
|
| Rate for Payer: PHP Commercial |
$64.93
|
| Rate for Payer: Priority Health SBD |
$48.13
|
|
